Organization
THE SMITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PAUL SMITH DC (OWNER)
(262) 844-1818
Entity
Organization
Contact information
Practice address
9545 S 20TH ST STE 2, OAK CREEK, WI 53154-4929
(262) 844-1818
Mailing address
9545 S 20TH ST STE 2, OAK CREEK, WI 53154-4929
(262) 844-1818
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
2664-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188165045
—
WI
Enumeration date
11/09/2015
Last updated
11/09/2015
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